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EL-14-407 'R (_ � ' C _ ..¢' � '3 Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795-2204 Fax: (305)756-8972 Inspection Number: INSP-231792 Permit Number: EL-3-14-407 Scheduled Inspection Date: April 30, 2015 Permit Type: Electrical - Residential Inspector: Devaney, Michael Inspection Type: Final Owner: MATEO, RAYMOND AND DAMARIS Work Classification: Addition/Alteration Job Address:900 NE 100 Street Miami Shores, FL 33138- Phone Number Parcel Number 1132060340220 Project: <NONE> Contractor: WEST KENDALL ELECTRIC Phone: 305-596-6240 Building Department Comments RENOVATION AND ADDITION Infractio Passed Comments INSPECTOR COMMENTS False Inspector Comments Passed CREATED AS REINSPECTION FOR INSP-208293. All low voltage permits to be final first. Add 4 receptacles on the counter back splash and one on the island. Failed Correction ❑ Needed Re-Inspection Fee No Additional Inspections can be scheduled until re-inspection fee is paid. April 29,2015 For Inspections please call: (305)762-4949 Page 11 of 29 Client#:7899 WESTKEND ACORD. CERTIFICATE OF LIABILITY INSURANCE D4/04/TE /DD/YYYY) 4/04/2014 THIS CERTIFICATE IS ISSUED AS A MATTEft OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND,EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S),AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT:If the certificate holder is an ADDITIONAL INSURED,the policy(les)must be endorsed.If SUBROGATION IS WAIVED,subject to the terms and conditions of the policy,certain policies may require an endorsement.A statement on this certificate does not confer rights to the certificate holder In lieu of such endorsement(s). PRODUCER CONTACT NAME: Larissa LaFreniere Cypress Insurance Group PHONE 954 771-0300 NC No: 954 772 9424 PO Box 9328 (AIC MAIL Fort Lauderdale,FL 33310-9328 ADDRESS: CarissaL@Cypresslnsurance.com 954 771-0300INSURERS)AFFORDING COVERAGE NAIC# INSURER A;Charter Oak Fire Insurance INSURED West Kendall Electric Inc. INSURER B:Normandy Harbor Insurance Co 9305 SW 94th Street INSURER C: Miami,FL 33176-2013 INSURER D: INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACTOR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. L R TYPE OF INSURANCE NSRADDL NND POLICY NUMBER UBR MNWDY EFF POLICY EXP LIMITS A GENERAL LIABILITY 16601055X579TCT14 2/28/2014 02/28/2015 EACHOCCURRENCE $1,000,000 X COMMERCIAL GENERAL LIABILITY PREMISES F�EcNcc�urran. $100,000 CLAIMS-MADE OCCUR MED EXP(Any one person) $5,000 PERSONAL&ADV INJURY $1,000,000 GENERAL AGGREGATE $2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG $2,000,000 POLICY JTECLOC $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT Ea accident ANY AUTO BODILY INJURY(Per person) $ ALL OWNED SCHEDULED BODILY INJURY(Per accident) $ AUTOS AUTOS HIRED AUTOS NON-OWNED PROPERTY DAMAGE $ AUTOS Per accident UMBRELLA LIAB OCCUR EACH OCCURRENCE $ EXCESS LIAB CLAIMS-MADE AGGREGATE $ DED RETENTION$ $ B WORKERS COMPENSATIONNGFL130916 3/20/2013 03/20/201 X WC STATU- OTH- AND EMPLOYERS'LIABILITY IER ANY PROPRIETOR/PARTNER/EXECUTIVE Y/N NHFL140916 3/20/2014 03/20/201 E.L.EACH ACCIDENT $1,000,000 OFFICERIMEMBER EXCLUDED? N/A (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $1,000,000 If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $1,000,000 DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES(Attach ACORD 101,Additional Remarks Schedule,If more space Is required) Workers Compensation applies to Florida operations and employees only. Electrical Contracting Lic No.EC 13001890 CERTIFICATE HOLDER CANCELLATION ANY OFBE City of Miami Shores Building THE SHOULD EXPIRA IONH DATE VTHEREOF,E NOTTICEIEELLED WILL CBE CDELIVEREDO NE Dept. ACCORDANCE WITH THE POLICY PROVISIONS. 10050 NE 2nd Avenue Miami,FL 33138 AUTHORIZED REPRESENTATIVE ©1988-2010 ACORD CORPORATION.All rights reserved. ACORD 25(2010/05) 1 of 1 The ACORD name and logo are registered marks of ACORD #S174578IM171920 CC a A .' 'a uli fit i M.P o a,se' sl all a y II a kFbi zz � � ""'t @` it#� AG Lt xe:k„r, •-, R9; r- i 7 A w"'Q' W'J a lh'r a r i•^:}FBeiii t'. ;�( 8r1 �J a- a.M I:-'. !e= i£};. a;n r•:r,t�. :at1- s:�"arae _d E'; Asa at tl 1'la' S{Yb- 4; o• YI [: `1' ..N:=i ;:('£( ki -_di61 "a5>! .i RJ s (YPI 'i[• '[�-i.: tl i,v X: -;=Q i3 3;�: bR)(51{ : p. {K 2 Fi i{ r..} f b' 1 f-�{• k 7i:4 di y =r=fit - y v f :' P b. � 3d�4j YiF dW i 1➢ice >:t)d:P6@ %, �C • o.°kl .i.if:? 15R :i4/ i ni IAFg:P i3Y 7 P t w(y. :511 12%� w¢.d :!v 4.3 Poll :• :ra nt r� :.. +�r� ;.� ac ' �. ;�'. 9..4� �,$ �,`° • ai a? 3d 9i i. t Sr 4 All AL ff � e�,".� iii 'laPp. 4� S9} x@i• a �.Y. # � ' �_ „��. � s t '."J _.> J v MR Ia. r r Net.i'� fd - 1./fM. 3" if £.vi tt. .�•t?+ �d = t 1.�: •R '.idl: i !.. rf r.d). + ! :! ! w I.I ,t'�. i c/P ,•` I.dd ft*�.. d mi".,`! t ,tR . d f�? k d). Y"�' Y! (-; a::, n ��,. .f. fi �f. ,AN-F! f.�sn i J +4.36f/ r,,' r 21. •Ii 3' ; •8.9� 0....{i$p NF{" � ..:'ik3 :Y°$'^i9 4;.J y)". fit' .dlA a� IIS.. Yr-"'`5-1)t': lF:4 iFz€l�.1 <tf b'L- -✓8=:��¢ �"x�} �.:yr e' �... • ..# a..* r.�• A,� N.� � JH.M�, Li I }_ a/.` I �' � I s �V.�.oP _. ,�I�.a4 _ � ,i, �:.'£..X i•a3:.'!}Sbt: Y !¢:,=-b %S -£#' Al `MtV iYii_' tb id £9�G.3 1 ,S ilFd= ,72.,1d§;. 4 nT t om'• • .� T 7 7 7 T 7 .. Date: 2/21/2014 Time: 1:46 PH To: 305 596 5176 Page: 05 Client#:7899 WESTKEND ACORD,. CERTIFICATE OF LIABILITY INSURANCE DATE( DIYYYY) 2/21/220014 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND,EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S),AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT:If the certificate holder is an ADDITIONAL INSURED,the policy(fes)must be endorsed.if SUBROGATION IS WAIVED,subject to the terns and conditions of the policy,certain policies may require an endorsement.A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER ROME" Carissa LaFreniere Cypress Insurance Group as°Na E>n:954 771-0300 �c Na,954 772 9424 PO Box 9328 E-MAIL Fort Lauderdale,FL 33310-9328 ADDRESS: CarissaL@Cypmssinsurance.com 954 771.0300 INSURER(S)AFFORDING COVERAGE MAIC INSURER A:Charter Oak Fire Insurance INSURED West Kendall Electric Inc. INSURERS,Normandy Harbor Insurance Co 9305 SW 94th Street INSURER C Miami,FL 33176-2013 INSURER D INSURER E INSURER F: COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACTOR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. LTROUCYEXP TYPE OF INSURANCE hISR U p POLICY NUMBER POWL YYY) (MPRAMO Y LIMITS A flENERALLIABIUTY 1660105SX579TCT14 D=812014 02/2812015 ppEAAMMCHQQOEECCURRENCE $1,000,000 X COMMERCIAL GENERAL LIABILITY PREMISESOERocourrance $100,000 GLANS-MADE ®OCCUR MED EKP(Any one n) $5,D00 PERSONAL&ADV NJURY 0,000,000 GENERAL AGGREGATE $2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMPIOP AGG s2,000,000 POLICY PRO- JECT LOC $ AUTOMOBILE LIABILITY COMBIN ED SINGLE LIM IT Es acc dent ANY AUTO BODILY INJURY(Per person) S ALL OWNED SCHEDULED BODILY INJURY(Per accidenq $ AUTOS AUTOS NON-OWNED PROP- TYDAMAGE $ HIRED AUTOS AUTOS Per 8=11 nt $ UMBRELLA LIAR [7OCCUR EACH OCCURRENCE S EXCESS LIAR CLAIMS-MADE AGGREGATE S OED RETENTION S S B WORKERS COMPENSATION NGFL130916 0312012013 03MO12014 X WC&TATO- OTH- AND EMPLOYERS'LIABILITY YIN ANY PROPRIETORIPARTN ERIEXECUTIVE E.L.EACH ACCIDENT $1,000,000 OFFICERIMEMBEREXCLUDED? N/A (Mandatory In NH) E.L.DISEASE-EA EMPLOYEE $1 00,000 If DESCRIPTION ON OF OPERATIONS below E.L.DISEASE•POLICY LIMIT $1,000,000 DESCRIPTION OF OPERATIONS!LOCATIONS I VEHICLES(Attaoh ACORD 101,Additional Remarks Sabo=It more space is"Ired) Workers Compensation applies to Florida operations and employees only. CERTIFICATE HOLDER CANCELLATION Village of Miami Shores SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Bulding and Zoning ACCORDANCE WITH THE POLICY PROVISIONS. 10050 NE 2nd Avenue Miami Shores,FL 33138 AUTHORtUD REPRESENTATIVE F ®1888-2010 ACORD CORPORATION.All rights reserved. ACORD 25(2010105) 1 of 1 The ACORD name and logo are registered marks of ACORD #S 1686641M 167412 CAT OM7OD ._ Y ss Tax Receipt Local Rus�ne p Miami—Dade County,State of FloridaLBTI THIS IS NOT A BILL—DO NOT PAY 1649954 Bt1MNBSS NA&W1&CCA-nO1N NW.0 .T rim EXPIRES WEST KEIUDML 8MWC INC FMO-Wa- SEPTEMBER 30, 2014 9305 SW 94 Sr 11 Must be dbp*W at place of business MIAMI FL 33176 Pursuant to County Code Chapter SA—Art.8&10 OvdNBR SBC.TYPE OF Btomem PAYMENT RECENED WEST K04DALL ELECTRIC INC 196 ELECTRICAL CONTRACTOR BY TAX COLLECTOR Workers) 10 EC13001890 $75.00 08/08/2013 7)(iS1-13-044139 Tiffs Local BoshressTmt eftalac*=Wkms p gmmd of the Local Bow Tmt.The Retest ls not a license, ftwtodobushrem ora cortiB iO aml r which ap*tothe b camph wBua°it gad 1er usicam The RW "NQ oboe arethe MWIR red oa all comunial vableles-tie-DWOCc"11100 111 M formerehdoustimvisit pt7'7777 77,77-77"T D _. ... _ D»PAR $IISI S PRO 35 ►33 L REGULATION SORRA; SECO L12073001726 L CffiN 8 NBR ,, 0?'°..3Q 72012112700487.8 gC�-30:018�iQ > �IeE 'Alt � : T$ S>J$ CT�.2ICAL COMT9ACTOR Nax(ted befQxa� I3 .CI�R`rIFI� �.� underthe ':prcvieio5ne of°-Chapt� Expiration dates AIIG :31, 2 014 ' y� ALTVA MR':', QST NDAi.L.. 3LE`CRGr SNC 9305 S.N. 94TH STR] ST FL„53176 RIS SCOTT } KEN LAWSON SECRETARY DISPLAY AS REQUIRED19Y LAW __